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We are pleased to rejuvenate our Department newsletter, now called “Awakenings”. The goal of the newsletter will be to keep all of our alumni, faculty, staff, and friends updated on the Department’s activities, its joys and successes, and at times, its ongoing challenges.

I was delighted to assume the Anesthesiology Chair in September of 2001. While this was a critical time in the evolution of the Department, it was never clearer that our challenges presented exciting opportunities. With a forecasted 25% increase in operative services over the next two-three years, partly due to the development of Children’s Hospital, we immediately recognized the need to greatly expand our faculty ranks to accommodate this expansion of the clinical mission. This posed a particular challenge in the midst of an unprecedented national shortage of anesthesiologists. Through a vigorous effort over the last nine months by the entire department, we have successfully brought eight outstanding new clinical faculty to Vanderbilt Anesthesiology, many of whom have already arrived. We particularly owe Andrea Whitman, Assistant to the Chair, a word of thanks for her diligent efforts in coordinating these extraordinary recruitments. At the same time, I have taken the opportunity to appoint a substantial number of new departmental leaders to help provide vision and direction as we manage our clinical growth, as well as expansion of our teaching and research missions.

Over the year, the Department will continue to make key administrative appointments, and to add new faculty to facilitate its growth in perioperative services, as well as research. Over the last year, Department of Anesthesiology extramural support from research grants increased by nearly 50%. While our “growth spurt” creates administrative challenges, it also creates an exciting opportunity for the Department to realize an aggressive vision: across the board, unparalleled excellence in clinical care, research, and education. In my view, few clinical specialties are as well positioned as Anesthesiology to truly facilitate the nonlinear growth in clinical service planned by Vanderbilt as an institution, and at the same time, few Anesthesiology Departments in the nation are fortunate to have such strong institutional support. In short, we’re on a fast track to the top!

Sincerely yours,

Jeffrey R. Balser, M.D., Ph.D.

AUGUST 2002 VOLUME I, #1

DEPARTMENT OF ANESTHESIOLOGY NEWSLETTER

VANDERBILT UNIVERSITY MEDICAL CENTER

AWAKENINGS

Letter from the Chair…

Chairman, Department of Anesthesiology Associate Dean, Physician-Scientist Development The James Tayloe Gwathmey Professor of Anesthesiology & Pharmacology

WELCOME...

Dr. Gillespie joins us from the Medical College of Georgia, and was the first faculty member to accept my invitation to join the faculty. She began her appointment as Assistant Professor in the Multispecialty Anesthesiology Division in January, and has rapidly become a popular faculty member and teacher. She has also taken a leadership role in re-establishing our Patient Simulator Program, which forms a core resource for resident and stu-dent teaching, and is participating in the liver transplantation program.

Dr. Hudson joins us from Children’s Mercy Hospital in Kansas City as Assistant Professor. Dr. Hudson brings experience in general pediatric anesthesiology, as well as special expertise in man-aging infants and children during cardiothoracic surgery. In addition, Julie has experience in legisla-tive affairs, and has assumed a key new leadership role in the Department as Director of Develop-ment and Legislative Affairs. Dr. Hudson will be organizing future events for our alumni, and will work with the Vanderbilt Development Office to expand the Anesthesiology Department’s endow-ment resources. Julie is accompanied by her hus-band Billy, The Elliot V. Newman Professor of Medicine, and Director of the Center for Matrix Biology

Dr. D’Alessio joined us in April from the Uni-versity of Texas San Antonio as Associate Profes-sor. He is a nationally recognized expert in the management of the airway, and in trauma anesthe-siology. He is the author of the airway anesthesia chapter of Dr. Robert Ossoff’s (Vanderbilt Chair-man of Otolaryngology) textbook, The Larynx. John joined the Department in April as Director of Trauma Anesthesiology. He is also an expert in regional anesthesia, and is working to expand our teaching and clinical services in perioperative pain management. John will soon be joined by his wife, Diane, and their children, Alexander, William, Olivia, and Victoria.

On July 1, Dr. Richardson arrived from the University of Rochester and began his appoint-ment as Associate Professor. Dr. Richardson brings vast experience in resident education to our program from his prior role as Vice Chair for Residency Education at Rochester, and has a na-tional reputation as a clinician and educator. As our new Director of the Multispecialty Anesthesi-ology Division, he assumes a position of major leadership in the Department of Anesthesiology. Dr. Richardson will have overall responsibility for administering the Department’s clinical and resi-dent teaching activities in most of the main oper-ating rooms, as well as in several outpatient and out-of-OR anesthetizing locations. Michael is ac-companied by his wife Nancy, and their children Audrey, Mackenzie, and Neal.

Dr. Michael Richardson

Dr. Julie Hudson

Dr. Sarah Gillespie Dr. John D’Alessio

...NEW ATTENDINGS

Dr. Galbraith is a Canby Robinson Scholar and former class president at Vanderbilt Medical School, and also completed his residency in anesthesiology at Vanderbilt. He joined our faculty on July 1 as Assistant Professor, supervis-ing the Department’s medical student rotations, and will also participate in the Department’s growing acute pain services program. Clark has experience in the computer industry, and has been heavily involved in the Department’s efforts to expand and streamline its new perioperative informatics system. He has three children, Am-ber, Jesse, and John-Michael.

On July 1, Dr. William Goldsmith became As-sistant Professor in the Multispecialty Anesthesi-ology Division, after completing his anesthesiol-ogy residency training at Vanderbilt and serving as a Chief Resident. Bill is planning to take a one- year sabbatical in January to undertake further training in our Critical Care Medicine fellowship program, and will then join the Department’s Di-vision of Critical Care Medicine as an attending. In this role, he will join the growing team of anes-thesiologists and surgeons providing intensive care services in both the Surgical and Neurosurgi-cal Intensive Care Units. Bill and his wife Karen have two children, Daniel and Kyle.

Dr. Hughes joins us this August as Assistant Professor in the Division of Cardiothoracic Anes-thesiology. Alex completed his residency training and Chief Residency at Maine Medical Center, and his Cardiothoracic Fellowship training at Massachusetts General Hospital. He will expand the Cardiothoracic Division’s ongoing expertise in both pediatric cardiothoracic anesthesiology, as well as in transesophageal echocardiography. Alex is joined by his wife Brenda, and their children, Andrew and Emily.

Dr. Thompson joins us this September as As-sistant Professor in the Multispecialty Anesthesia Division. Following her medical training at Duke, Dr. Thompson undertook residency training in two specialties, Internal Medicine and Anesthesi-ology, at the University of California, San Fran-cisco, and also served as Chief Resident in Inter-nal Medicine in 1999. Annemarie is author of large portions of the University of California San Francisco Handbook of Anesthesiology, and her recruitment greatly strengthens our Department’s teaching programs.

Dr. Clark Galbraith Dr. Alexander Hughes

Dr. William Goldsmith Dr. Annemarie Thompson

Imagine arriving at the hospital for elective laparoscopic cholecystectomy and you are checked in by a “greeter” bearing a handheld computer that enters all of your preoperative information. You arrive in the operating room where an anesthetic has been designed for you based on your medical history that provides you with the best risk profile. As you enter Phase I recovery, your billing information is transmitted to the office complete with all the requisite documentation. Data from your experience is added to the collected experience of thousands of other pa-tients who have had the same procedure so that the safest and most optimal anesthetic can be delivered to future patients.

Thanks to VPIMS, the Vanderbilt Perioperative Information Management System, this is reality at Vander-bilt University.

VPIMS was created to manage surgical patient information into a legible, electronic medical record accessi-ble to nurses, anesthesiologists, surgeons and operating room managers. It was additionally designed to support pa-tient tracking, billing, quality improvement, cost containment and clinical research efforts.

So how does it work? Wireless iPAQ Pocket PC’s log patients into the system on arrival. The surgery schedule is accessed and the “greeter” knows when surgery is scheduled, which operating room (OR) is to be used and which surgeon is performing the procedure. The record is updated as the patient proceeds through the pre-op process.

Once in the OR, the patient’s data is pre-loaded into the anesthesiology OR chart. Vital signs are rapidly entered by the clinician. At the conclusion of the case, a preliminary record may be printed for the recovery team. The final medical record is flagged electronically for missing signatures or documentation, which expedites billing and compliance issues. Once these items are complete, the record is immediately available electronically to all users.

Aside from the practical issues of tracking, documentation, and billing, VPIMS can be used to generate solutions to clinical problems. For example, if a department wishes to determine which antiemetic regimen is most efficacious in laparoscopic gynecological procedures, it could have the needed information within minutes from thousands of patients.

Intelligent Healthcare InformatTx ™, Inc. is the commercial development of this product. The leadership team includes John Kunysz, Jr., President and CEO as well as Michael Higgins, MD, MPH, Chief Clinical Technol-ogy Officer and Vice-Chairman for Adult Perioperative Services at Vanderbilt. According to Higgins, case delays due to preoperative access have been reduced from 8% to 2% since implementing the system. This translates into dol-lars saved. Billing capture has jumped to over 98%. Further, an annual savings of more than $3 million from de-creased use of chest x-rays and blood chemistries has been realized.

But perhaps most importantly of all, says Higgins, “There’s a terrific intangible benefit as well: our patients are greeted by name at the door…On the day of his or her surgery, every patient wants to feel like they are special. This system helps us make the patient feel exactly that way.”

For more information regarding VPIMS, contact Dr. Michael Higgins (Michael.Higgins@vanderbilt.edu).

Mike Higgins, M.D., M.P.H. Executive Medical Director of Perioperative Services Vanderbilt University Medical Center Vice Chairman for Adult Perioperative Services Associate Professor Departments of Anesthesiology, Surgery, and Biomedical Informatics Vanderbilt University School of Medicine

SENIOR DINNER 2002

Drs. Adriana Call, Amgad Saied Daiana Voiculescu, Rick Evans

Drs. John McCrery, Cindy Liu, Pam Abercrombie, Jeff Balser

Dr. Hugh “Tony” James, & wife, Laura, Drs. Karl Horsten, Petra Riescke

Barbara Carter & Andrea Whitman

Dr. Daiana Voiculescu & Jane Shoun

Dr. Clark Galbraith & fiancée, Khaysy

Dr. Pratik Pandharipande & wife, Anjali

Back: Drs. Alan Dean, William Daniels Middle: Drs. Pickens “Trey” Patterson,

William Goldsmith, Rick Evans, Front: Drs. Petra Riescke, Pam Abercrombie, Tony James

Drs. Tony James, William Goldsmith

Drs. Pickens Patterson, William Daniels, Daiana Voiculescu, Adriana Calle

SENIORS 2002

Left to right: - Back: Drs. Amgad Saied, Rick Evans, Jane Easdown (Associate Program Director), John Barwise (Program Director), Trey Patterson, Clark Galbraith

Front: Drs. Bill Daniels, Arna Banerjee, Tony James, Jeff Balser (Chair), Bill Daniels, Petra Rieschke, Pam Abercrombie

Dr. John McCreary

Dr. Lawrence Freund

As we begin the 2002-2003 academic year there are several exciting developments affecting our residents. First of all, we would like to welcome the new interns and CA-1s who joined us July 1st. There is a full class of eight in-terns who are now learning the ropes on their respective rotations. We wish you good luck; it really will be over before you know it. Additionally, a full complement of 14 CA-1s are now with us in the Main OR. The upper level residents are very excited at the prospect of having greater numbers to dilute that pesky call schedule. Seriously, our new total of approximately 40 residents will make life better for everyone.

To improve the quality of our study and down time, the residents are getting a new office all our own. The office formerly occupied by Lana and Debbie near the O.R. radiology room will soon be ours. Construction began in late June. Plans call for computers, desks, a couch, and TV. This will give the residents a spot to study and unwind that is very accessible to most OR.'s. The Chief's office will also be located there.

Overall, things are shaping up to be great year!

Over the last nine months we have made a large number of administrative appointments to allow restructuring and integration of Anesthesiology Clinical Services. Among those, recent appointments that involve new responsibil-ity for large segments of our clinical service obligation in-clude:

Dr. Michael Higgins has assumed the role of Vice Chair for Adult Periopera-tive Services, where he is responsible for all adult

clinical services in the Department. Dr. Higgins was formerly Chief of the Multispecialty Anesthesiology Divi-sion, the position now filled by Dr. Michael Richardson. Dr. Higgins brings special expertise in informatics to operating room management, as one of the authors of the Depart-ment’s perioperative information man-agement system (VPIMS). On July 1, Dr. Higgins also assumed the position of Executive Medical Director of Adult Perioperative Services, an insti-tutional role where he is charged with identifying and helping to implement strategies for managing the ongoing demand for increased operating room case volume and overall efficiency,

Dr. Jay Deshpande is now Vice Chair for Pediatric Perioperative Services. As Chief of the Division of Pediatric Anesthesiology

and Critical Care, Dr. Deshpande has developed the premier pediatric anes-thesiology and critical care program in the region. His administrative respon-sibilities now include general oversight of the perioperative clinical missions for Anesthesiology in both the Pediat-

ric Intensive Care Unit and the Pediat-ric Operating Rooms. Jay’s major task over the coming months is to help shepherd the move of anesthesiology and critical care services into Chil-dren’s Hospital. He will be fully en-gaged in our efforts to recruit addi-tional pediatric anesthesiology faculty to a greatly expanded pediatric surgical facility in Children’s Hospital.

Dr. Robert Deegan is Chief of Car-diothoracic Anesthesi-ology. Over the past five years, Dr. Deegan has spearheaded the development of the

Anesthesiology Department’s intraop-erative program in transesophageal echocardiography, and has trained a number of our faculty and fellows in the use of this important diagnostic tool. Dr. Deegan has increased the Department’s Cardiothoracic Fellow-ship program to two fellows per year, and will shepherd the expansion of cardiothoracic anesthesiology services over the next two years as a number of additional adult and pediatric cardiac and thoracic surgeons are recruited.

Dr. John Algren is now Medical Director of the Pediatric Oper-ating Rooms, where he

provides operational oversight for anesthesiology and perioperative care in the Medical Center East operating rooms, and in the future Children’s Hospital operating rooms. Dr. Algren will play a major role in identifying and implementing operational strategies to expand anesthesiology services from eight to 16 operating rooms over the next two years. Dr. Algren moved to Vanderbilt from Baylor College of Medicine in 1999 as Associate Profes-sor, and since 2000 has been Professor of Anesthesiology and Pediatrics, while also directing the Pediatric Anes-thesiology Fellowship Training Pro-gram.

Dr. Ken Smithson is now Chief of the Division of Adult Critical Care Ser-vices in the Department of Anesthesiology. Dr. Smith-son was trained in both anesthesiology and critical

care medicine at the Mayo Clinic, and been co-director of the Neurosurgical Intensive Care Unit at Vanderbilt. He is working collaboratively with Dr. Addison May in the Department of Surgery toward expanding the activi-ties of intensive care specialists in the Surgical Intensive Care Unit, with a view to expanding Vanderbilt’s capa-bility to effectively manage an increas-ing volume of patients who require intensive care services. At the same time, Ken is expanding the size and prestige of the Anesthesiology critical care fellowship program.

Our most recent major appointment is Dr.

Ellen Lockhart as Chief of the Divi-sion of Obstetric Anesthesiology. We were fortunate to recruit Dr. Lockhart from Duke University one year ago, where she was a member of the clini-cal faculty and administered a basic research program. While managing the growth of anesthesiology programs in women’s operative services, Dr. Lock-hart is also charged with mentoring the Obstetrical Anesthesiology teach-ing programs, and will be rejuvenating a subspecialty fellowship training pro-gram in Obstetrical Anesthesiology. In addition, Ellen is initiating clinical research projects that examine the genomic basis for morbidity in the parturient patient, part of a growing research theme in the Department at-large.

ANNOUNCEMENTS

NEW RESIDENTS

Dr. Sarah Starr CA-3

Michigan State University, AOA Member Sarah is married to Fredd Starr who is doing a Fellowship in Child Psy-chology. Sarah and Fredd have one daughter.

Dr. Curt Carson CA-1

University of South Dakota Interests: weightlifting, squash, racquetball, international travel, digital photographic editing, handheld computer applications, cooking.

Dr. Brad Hill CA-1

University of Health Sciences, Osteopathic Medical School, Iowa Interests: hunting, fishing, camping, hiking, playing guitar and various sports. Brad and wife Trish, had their first child, Emma, on June 10.

Dr. Jim Hong CA-1

State University of New York at Stony Brook Interests: skiing, ice skating, table-tennis, cooking, traveling, and music.

Dr. Murali Mamidi CA-1

University of Texas at San Antonio Interests: reading, travel, philosophy. Muralis’ wife, Christina, is an Ophthalmology intern.

Dr. Charles Hill CA-1

University of Texas at San Antonio Interests: playing guitar, traveling, golf, tennis, skiing, mountain biking photography. Charles’ main interest is our own Jonay Grimm. They are to be married this year!

NEW RESIDENTS

Dr. Peter Castro PGY-1

Vanderbilt University School of Medicine Interests: soccer, ice hockey, backpacking. Peter received a Howard Hughes Medical Institute Medical Student Fellowship

Dr. Christopher “Chad” Findley PGY-1

University of South Florida College of Medicine Interests: triathlete, competitive running, hiking, rappelling, kayak-ing, snow skiing, mountain biking.

Dr. Nawal Ragheb CA-1

Michigan State University Recently married Dr. Jeff Mueller, Resident in Pathology. Nawal and Jeff will be going to Africa this spring.

Dr. Frederic “Josh” Billings PGY-1

Louisiana State University School of Medicine in Shreveport Josh did a six-week rotation this past fall with us at Vandy. Interests: scouting (Eagle Scout), rugby, woodworking, bonsai, basketball.

Dr. William “Brian” Kendall PGY-1

University of Arkansas College of Medicine Interests: participating in church activities, intramural sports, and spending time with his family.

Dr. Chris Davis PGY-1

University of Texas Medical School at San Antonio AOA Member Interests: ranching, softball, baseball, (bird) hunting, golf, fly fishing, and his fiancée, Morgan Earley.

NEW RESIDENTS

THE FOLLOWING RESIDENTS HAVE COMPLETED THEIR PGY-1 TRAINING AT VANDY

Dr. Chris Yates CA-1

Dr. Wenying Niu CA-1

Dr. Ladd Campbell CA-1

Dr. Sean Costabile CA-1

Dr. Michael Lyaker CA-1

Dr. Jonay Grimm CA-1

Dr. Shannon Kilkelley CA-1

Dr. Sheila Jeffcoat CA-1

Dr. Joe Lester PGY-1

University of Health Sciences College of Osteopathic Medicine, Kansas City Interests: running, mountaineering, sky diving, traveling, music. Joe was also in the US Army.

Dr. Austin Rich PGY-1

University of Texas Medical School of San Antonio Interests: Austin and his wife enjoy running, gardening, camping and basketball. Austin lived in Scotland for 2 years while on a Mission trip.

Dr. Frank Zhan PGY-1

Vanderbilt University School of Medicine Speaks Fluent Chinese Interests: Chinese painting, water painting, fencing, tennis, Airplane design, basketball

It’s exciting to move to a new home, and that is exactly what the Division of Pediatric Criti-cal Care and Anesthesia will do in the fall of 2003. A dedicated and talented group of pediatric anes-thesiologists will relocate to an entire floor designed to provide care from admission to discharge for a variety of procedures including cardiac catheterization and endoscopy. The team will provide over 8000 surgical cases this year alone, and it is anticipated that this number will increase by 8-10 % a year after moving to the new Vanderbilt Children’s Hospital facility.

Along with the division growth comes the opportunity to recruit new staff. In the past year, we have welcomed three new faculty members: Dr. Ira Landsman, Dr. Mirjana Vustar, and Dr. Julie Hudson. Dr, John Algren has assumed the role of Medical Director for the Pediatric Operating Rooms and Perioperative Services.

In addition to providing family-focused perioperative care, the staff is involved in the train-ing of anesthesiology residents, medical students, student nurse anesthetists, pediatric residents, emergency room residents and fellows and respiratory therapy students. Of particular note is the department’s commitment to anesthesiology education in supporting a pediatric anesthesiology fel-lowship program, which has had three graduates to date.

We are also proud of our “citizenship” activities, those involvements that serve to promote improved healthcare for children through partnership and collaboration outside the walls of Van-derbilt. A few examples are mentorship programs in metro schools, the Fisk/Vanderbilt summer program for premed students, PALS teaching, Winterim, the Girl Scout Physicians of Tomorrow mentoring program, and focus groups for the National Association of Children’s Hospitals and Re-lated Institutions.

These are exciting times in the Pediatric Division of Vanderbilt’s Department of Anesthesi-ology. We are thrilled about the exciting opportunities that are occurring. But our very best day is still one where every parent’s child had a safe and uneventful anesthetic.

John Algren Dila Vuksanaj

Shannon Hersey

Julie Hudson

Mirjana Vustar Ira Landsman

An

esth

esia

Ser

vice

s

Stephen Jays

Pediatric Critical Care and Anesthesia at Vanderbilt Children’s Hospital

Jay Deshpande, M.D. Professor of Pediatrics & Anesthesiology Director, Pediatric Critical Care & Anesthesia Vice Chairman of Pediatric Affairs, Department of Anesthesiology

Dr. Roberto Ycaza and his family (yes, all six kids) stopped by for a visit in July. Roberto lives in St. Peters-burg, Florida and is employed at Bradenton Surgical Center. He enjoys soccer, tennis, and spending time with his wife, Viveka, and their children: Roberto, Gabriela, Emilio, Francesca, Vivi, and Sergio.

Roberto Ycaza Class of 1994

Dr. Len Auman (1995) resides in Dallas, Texas, and is Medical Director, Department of Anesthesiology, St. Paul University, Dallas, Texas.

Dr. John (2001; Chief Resident) and Jennifer Burelbach reside in Lacross, Wisconsin, where John practices with a private group of 14 anesthesiologists. They and their three children (Katherine, 6; Alexandra, 4; Eliza-beth, 1 ½) await the arrival of their next family member, Baby Burelbach.

Dr. Casey Cooper (1995, Pain Fellowship, 1996) resides in Madisonville, Kentucky, and is Director of Pain Medicine at Regional Medical Center.

Dr. Mehmood Durrani (1996) is an Assistant Professor of Anesthesia at West Virginia University Hospital and does mostly Cardiothoracic and Neuroanesthesia. Passed both anesthesia boards and Critical Care Boards.

Dr. Sriram Iyer (1995) resides in Staffordville, Kentucky. He completed a Pain Fellowship at the University of Kentucky, Lexington in 1996. He is Chief of Anesthesia at Kings Daughter Medical Center in Ashland, Ken-tucky.

Dr. Rene Llera (1997) is in private practice in Prattville, Alabama.

Dr. Scott (1995) and Michelle Marlow reside in Fort Worth, Texas, where Scott is in practice. Scott and Mi-chelle are expecting their third son in November.

Dr. Glenn McAskill (1994) resides in Marshall, Texas, where he manages his own practice.

Dr. Dan (1995) and Kara McCarthy reside in Washington, Indiana, where Dan is a staff anesthesiologist. Dan and Kara have a four-year-old son, Daniel IV, and a 5-month-old son, Burkley. They enjoy boating and riding their John Deere tractor.

Dr. Michael (1995) and Inger Mendoza reside in Parkersburg, West Virginia, where he is a staff anes-thesiologist with United Anesthesia, Inc.

Dr. Rajendran (2001; Chief Resident) and Kamini Nair reside in Gulf Breeze, Florida, where Raj is in private practice with three other Vanderbilt graduates (Dr. Alan Krys, 1992, Chief Resident; Dr. Leo Rodriquez, 2001; Dr. Sylvio Sitarich, 2001). Word has it (from Dr. Burelbach) that Dr. Nair will be hosting a pig roast and serving his famous jerk chicken. He would like to know what would be a good time for everyone to meet at the Nair residence…

Dr. Dean Perkins (1995) resides in Madisonville, Kentucky, where he is Chairman of Anesthesiology at Trover Foundation Regional Medical Center. He is also medical director of the Kentucky Program of An-esthesia (CRNA school).

Dr. Davor (1999; Chief Resident) and Kristine Pluscec reside in Edgewater, Florida where Davor is in a multi-site practice. He completed a CV fellowship at Emory before moving to Florida. Another class-mate, Dr. Daniela Holloway (1999) is in the same group. The Pluscec family will grow by one sometime near the end of July when their first child, a son, is to be born.

Dr. Leopoldo Rodriguez (2001) and Margarita Zingg live in Gulf Breeze, Florida and have two sons, 6 months and 2 ½ years old. Leo practices as a pediatric anesthesiologist. Margarita, who completed her MBA at Belmont, manages her own business. You may access her website at zing@bigplanet.com.

Dr. Jim Roth (1990) resides in Nashville, Tennessee, where he is Medical Director for the Tennessee Medical Board of Examiners. He also practices as an emergency physician.

Dr. Silvio Sitarich (2001) and Sheila Markely (CRNA) reside in Pensacola, Florida where they practice within the same group. They also work with other VUMC alums, Doctors Alan Krys, Raj Nair, and Leo Rodriguez. Silvio and Sheila are expecting a baby daughter sometime in September.

Dr. Mike Vega (1995) resides in Huntington, West Virginia. He is in private practice with Tri-State An-esthesiology in Ashland, Kentucky. Mike is involved in annual mission trips to Belize.

Drs. Tamara Wheeler (1995, Pediatric Fellowship, 1996) and Tom Wheeler reside in Ft. Wayne, Indi-ana, where Tammy is in practice. They have a 3-year-old son, Evan.

1997 ASA Reception 1999 Welcome Party

Alice Alstatt

1998 ASA Reception

2000 Senior Dinner

1994 Resident Dinner

1999 ASA Reception

1994 Resident Dinner

1996 ASA Reception

VISIT US:

http://www.mc.vanderbilt.edu/anesthesiology/

CONTACT US:

andrea.whitman@vanderbilt.edu

Vanderbilt University, Department of Anesthesiology

1313 21st Avenue South/504 Oxford House

Nashville, TN 37232-4125 (615) 936-2979 (615) 936-2800

You are cordially invited to the

ASA Vanderbilt Alumni Reception

Saturday, October 12, 2002

Rosen Centre Hotel / Salon 1

9840 International Drive

Orlando, FL 32819-8122

6:00-8:30 PM

Please RSVP to Ann Loffi (615) 936-1830 ann..loffi@vanderbilt.edu